HomeMy WebLinkAbout2801 ROOSEVELT ST; ; 77-4730; PermitMODEL NO, _________ _
r BUILDTNG PERMIT APPLICATION PAlu
City of CARLSBAD, CALIFORNIA 92008 JUN ?.?·77 ~cc78~******42.00
Applicanttocompletenumberedspacesonly Phone 729-1181 Permil No 7 7 _,,, // JO
JDII AD0FI ESS f<r,,-::....._, J ,.J+. ASSESSOR'S
dRDl PARCEL NUMBER
I LOT NO, ""' I TFIA.C T BOOK PAGE I PAR.
1 ~~;~~. (□SEil ATTACHED SHEET)
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20~1'{(:,j__l'\ T),.,Lu.nG M5."'JOYSS 7' • I 'W r. '\ PHONE
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CON T"AC TO" MAil A.00RESS / -STATE LIC. NO. CITY LIC, NO.
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4 •~1.T,:;.:,;Dv:~\l.v,\,l, ~~ ~ ~A~ MAIL A.DDRESS PHONE LICENSE NO.
11.J,,,.. 111 P/,(,1 -A I ,1c.. /+JvJ~s (9.1;\ -::......~ ;171 • ENGINEER I . MAIL A.0DRESS ' / PHONU' 1;1CEN"SE ND.
5
COMPENSATION INS. CARRIER MAIL ADDIIIESS tl"A'-CH
6
7 u(i~ :Ull:D~:~k?A (1 ( lsr ,Ylf-(, A" .... NO. BORMS NO. BATHS
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8 Class of work: □ NEW □ ADDITION )'(AL TE RATION □ REPAIR □ MOVE □ REMOVE
9 Describe work: (\~A,il~ ~•~\A'1b ,?_L ~ ~ r.;. \ !~--t .
10 Change of use from
Change of use to
11 Valuation of work: //~ ~ , ti'~ PERMIT FEE $ ,;z,f-~ -PLAN CHECK FEE$
SPECIAL CONDITIONS, MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) SQ. Ft. Stories 0cc. Load
Fire u,e Fire Sprinklers A"UCAZ!? PLANS CHECKED SY :e~:~~'F. BY
Zone Zone Required Dves □No
No. of OFFSTREET PARKING SPACES:
No. I No.
DATE • Dwelling Units Covered Sq, Ft. Open
NOTICE
, Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT,
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF Fl RE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ENGINEERING DEPT.
ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT,
m, oe wo•• wu •• ,owec"o •~ '~'"'"° HEREIN OR NOT, THE GRANTING OF A PERM DOES NOT ~~~~RJi;::Tro VIOL'}.TLELO ~:~Sc~/;:::~
CONSTR CTtON OR T PERFf>R~ OF. CONSTR:UCTION. -. 0/zz.L , I .,,-"XI' '/7.J / 7
;::7//7 / :;;·-v ( /o"'f /
( '4AT 0WN"'..ill 1,-0WNCIII 8UILD£111) DATE)
-v WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES$
. '
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL 'i5 ,J-f-7) T Jftz-Lv .., ·c.,,,, _;,,,
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
--·-~~----
' '
., ·--..,~-1cu . / } -7.:}9-~ '/IS ~
,l_., INTERDEPARTMENTAL INF. MATION SHEET RECEIVED
\ ,.:.i,f r; 3 </. ~ 0 / IA 0. ';YJ'✓----7.:..?.. 4 ~ ..v-0 K.. r~L-/"_,<.,{c.. 1
JEPARTMENT / ifATE: ___ J~U=}~/-2~n~·~19~7-7
/ ' 'ADDRESS:
·\~LANNING DEPARTMENT
f<oo s e v Ei I-+ cny _oF CARLSBAD
Bu1ldmg Departme:,t
r ZONE c__.,,. z_ LOT SI ZE. _________ LOT WIDTH. ________ _ .. ,.
' It UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
i.~ ; I
PARKING SPACES REQUIRED PROVIDED -----------
% COVERAGE ALLOWED PROVIDED ------------------------
BU IL DING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK: , / ~IDE pETBACK: REAR SETBACK: r ALLOWED -'---=e-"'-':x_, 51rv~r sl.rLrt6-/~1ir.u·1,u:r~f'.~=====------=-=-=-----
I~ : PROVIDED -------
INTRUSIONS
1 LANDSCAPE & IRRIGATION PLAN COMMENTS:
'\
(J ENVIRONMENTAL PROTECTION REQ:
< . l I ------------------------------------
'-' ' ADDITIONAL
' tr -------,-r--;1--?r:------r-1--+;::-------:n-/.1'¥--:..,,,,,..------~--1-
K TO FINAL --c..#-1-~'4----DATE.~_,_~J..--1--7 OK TO ISSU
ENGINEERING DEPARTMENT
....:.. R. o. w .efief: INDUSTRIAL wAsrE -IMPRovEMENTs Al /4 ---"-------
SEWER CONNECTION Va /}et,_; toµJ1>ff@f~cATIO NS __ -________ _
GRADING PERMIT __ ::::::::::::::: ___ EASEMENTS -DRAINAGE -
LEG AL DESCRIPTION fbr: (.o../-46 I .$e-e?s-~ C1 efc;;;
ADDITIONAL COMMENTS -----------------,--------------
OK TO ISSUE: FNL
,; ---------------
FIRE DEPARTMENT
SPRir;KLING SYSTEM ___________ FIRE PROTECTION EQUIP. Ar-"71M.c: of OCCJ..t().
FIRE ALARMS EXITS ----------------
FIRE HYDRANTS LOCATION ------------------
ADD IT ION AL COMMENTS
OK TO FINAL ______ DATE ____ _
r,, ~ATER DEPARTMENT ,
~~EQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DAT E ________ _
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